Failure of an engineered system: The gastrointestinal endoscope

Amandeep K. Shergill MD, MS , Carisa Harris Adamson PhD, CPE
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引用次数: 18

Abstract

Advances in endoscopic technology continue to expand the field of gastrointestinal endoscopy. However, there have been no parallel advances in general endoscope design, and gastroenterologists are at risk for musculoskeletal repetitive strain injury due to the repetition, high forces and prolonged, awkward postures required to perform endoscopy. The current endoscope design lacks a consideration of human factors, and due to the high risk of injury, represents a failure of an engineered system. This review will focus on a risk assessment and management strategy for the gastrointestinal endoscope. Risk assessment is the identification of potential flaws in the system. Risk management describes the steps taken to mitigate these flaws. Three different approaches to risk assessment and management, proactive, reactive, and interactive risk assessment and management, will be reviewed as they apply to the performance of gastrointestinal endoscopy.

工程系统的失败:胃肠道内窥镜
内镜技术的进步不断扩大胃肠道内镜的应用领域。然而,在一般内窥镜设计方面没有类似的进展,胃肠病学家由于进行内窥镜检查所需的重复、高强度和长时间、尴尬的姿势而面临肌肉骨骼重复性劳损的风险。目前的内窥镜设计缺乏对人为因素的考虑,并且由于高伤害风险,代表了工程系统的失败。本文就胃肠道内窥镜手术的风险评估与管理策略作一综述。风险评估是识别系统中潜在的缺陷。风险管理描述了减轻这些缺陷所采取的步骤。三种不同的风险评估和管理方法,主动,被动和互动风险评估和管理,将被审查,因为他们适用于胃肠道内窥镜检查的性能。
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来源期刊
Techniques in Gastrointestinal Endoscopy
Techniques in Gastrointestinal Endoscopy GASTROENTEROLOGY & HEPATOLOGY-
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期刊介绍: The purpose of each issue of Techniques in Gastrointestinal Endoscopy is to provide a comprehensive, current overview of a clinical condition or surgical procedure in gastrointestinal endoscopy, combining the effectiveness of an atlas with the timeliness of a journal. Each issue places a vigorous emphasis on diagnosis, rationale for and against a procedure, actual technique, management, and prevention of complications. The journal features abundant illustrations, line drawings and color artwork to guide readers through even the most complicated procedure.
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